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Louisiana rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc Migraine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.42 / $1,011.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.40 / $185.87 / $243.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $138.69 / $169.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.94 / $490.74 / $765.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.88 / $189.18 / $247.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.29 / $274.23 / $274.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.39 / $191.06 / $255.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.41 / $176.14 / $328.84